D'Souza, Sean Benedict

D'Souza, Sean Benedict is an sole proprietor health care provider with primary practice located at 9192 W Union Hills Dr , Peoria AZ 85382-8208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. D'Souza, Sean Benedict can be contacted via phone (602) 374-4101.

Contact Information

Primary practice address
9192 W Union Hills Dr Peoria AZ 85382-8208
Phone: (602) 374-4101
Fax: (602) 441-0522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 49960 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 40387 Arizona

Profile Details

NPI number 1306043211
LBN Legal business name D'Souza, Sean Benedict
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Sep 12th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306043211 NPPES
Arizona MEDICAID 423119

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